person
De'trece Atalie Lavender, NCC,LGPC
Professional Counselor in Laurel, Maryland
NPI 1073274387

De'trece Atalie Lavender is a Professional Counselor based in Baltimore, MD and is specialized in Professional. De'trece Atalie Lavender practices in Laurel, MD and has the professional credentials of NCC,LGPC. The NPI Number for De'trece Atalie Lavender is 1073274387 and holds a License No. LGP12232 (Maryland).

The current practice location address for De'trece Atalie Lavender is 8101 Sandy Spring Rd Ste 250, Laurel, MD and can be reached out via phone at 667-228-8397. You can also correspond with De'trece Atalie Lavender through the mailing address at 625 PARKWYRTH AVE, BALTIMORE, MD - 21218-1956 (mailing address contact number: 443-522-8113).

Location: 8101 Sandy Spring Rd Ste 250, Laurel, MD, 21218-1956
person
Provider Profile Details
NPI Number
1073274387
Provider Name
De'trece Atalie Lavender
Credential
NCC,LGPC
Provider Entity Type
Individual
Gender
Female
Address
8101 Sandy Spring Rd Ste 250, Laurel, MD, 21218-1956
Phone Number
667-228-8397
Fax Number
Provider Enumeration Date
01/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8101 Sandy Spring Rd Ste 250
City
State
Zip
20707-3527
Phone Number
667-228-8397
Fax Number
person
Provider Business Mailing Address Details
Address
8101 Sandy Spring Rd Ste 250
City
State
Zip
20707-3527
Phone Number
667-228-8397
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LGP12232 (Maryland)
Definition
Definition to come...
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